SEC Form 4 · accession 0001127602-19-002017
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Maureen J. MacInnis
Officer — Sr VP & Chief HR Officer
Period of report
Jan 11, 2019
Accepted (ET)
Jan 15, 2019 · 4:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000818479
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 11, 2019 | A | 19 | $0.00 | A | 30,634 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock (Supplemental Executive Retirement Plan) SERPF3,F2 | — | Jan 11, 2019 | A | 19 | A | — | — | Common Stock | 19 | 8,549 | D |
Explanation of responses
- F1Represents dividends on restricted stock units (RSUs) awarded to the Reporting Person in the form of additional RSUs and are subject to the same vesting terms as the underlying awards. The dividends vest simultaneously with the RSUs to which they relate. Each RSU converts to common stock on a 1:1 basis.
- F2Each share of phantom stock is the economic equivalent of one share of common stock. The shares of phantom stock become payable in common stock upon the reporting persons termination of employment.
- F3Comprised of phantom stock acquired as a result of accrued dividends.